{% extends "base.html" %}
{% load charts %}

{% block section_title %} Request A Tree {% endblock %}

{% block content %}

<div class="grid_12" id="content">
    
    <h3>Be A Hero!</h3>
    <p>Use This Form To Request A New Tree Be Planted In Your Neighborhood.</p>
    
    <div class="grid_6 alpha">
        <form action="" method="post" accept-charset="utf-8">
            <table border="0" cellspacing="5" cellpadding="5">
            <tr><th><label for="id_name">Name:</label></th><td><input id="id_name" type="text" name="name" maxlength="255" /></td></tr>
            <tr><th><label for="id_email">Email:</label></th><td><input id="id_email" type="text" name="email" maxlength="75" /></td></tr>
            <tr><th><label for="id_comments">Comments:</label></th><td><textarea id="id_comments" rows="10" cols="40" name="comments"></textarea></td></tr>
            </table>
            
            <p><input type="submit" value="Submit"></p>
        </form>

    </div>

    <div class="grid_6 omega">

<iframe width="425" height="350" frameborder="0" scrolling="no" marginheight="0" marginwidth="0" src="http://maps.google.com/maps?f=q&amp;source=s_q&amp;hl=en&amp;geocode=&amp;q=+888+14th+St,+san+francisco,+ca&amp;ie=UTF8&amp;hq=&amp;hnear=888+14th+St,+San+Francisco,+California;z=16&amp;iwloc=near&amp;output=embed"></iframe><small><a href="http://maps.google.com/maps?f=q&amp;source=embed&amp;hl=en&amp;geocode=&amp;q=+888+14th+St,+san+francisco,+ca&amp;ie=UTF8&amp;hq=&amp;hnear=888+14th+St,+San+Francisco,+California&amp;z=16" style="color:#0000FF;text-align:left">View Larger Map</a></small>

    </div>

	<div class="clear"></div>
	<div class="clear"></div>
	

</div>
<!-- end .grid_9 -->

    

    

		
</div>
<!-- end .container_12 -->

{% endblock content %}